| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $239.39 | $3,940.00 | $7,602.00 | |
Aetna
| Professional | $167.57 | $239.39 | $251.68 | |
BCBS
| Facility | $108.00 | $142.00 | $388.00 | |
Lucent Health
| Facility | $562.94 | $1,251.25 | $1,251.25 | |
Lucent Health
| Professional | $1,793.76 | $1,846.48 | $2,148.30 | |
United
| Facility | $1,200.00 | $2,665.00 | $4,918.00 | |
United
| Professional | $246.53 | $347.60 | $565.41 |